AUGUSTA, MAINE — In a landmark vote, Maine voters today approved Question 5, making the state the third in the country to license nonprofit organizations to provide medical marijuana to qualified patients and the first ever to do so by a vote of the people. With 49 percent of the vote tallied, the measure was cruising to an easy win with 60.2 percent voting “yes” and 39.8 percent voting “no.”

Under the measure, the state will license nonprofit organizations to provide medical marijuana to qualified patients and set rules for their operation. While 13 states permit medical use of marijuana, only Rhode Island and New Mexico have similar dispensary provisions, both of which were adopted by the states’ legislatures. Maine’s original medical marijuana law was passed in 1999.

“This is a dramatic step forward, the first time that any state’s voters have authorized the state government to license medical marijuana dispensaries,” said Rob Kampia, executive director of the Marijuana Policy Project in Washington, D.C., which drafted the initiative and provided start-up funding for the campaign. “Coming a decade after passage of Maine’s original marijuana law, this is a huge sign that voters are comfortable with these laws, and also a sign that the recent change of policy from the Obama administration is having a major impact.”

In October, the U.S. Department of Justice issued a formal policy indicating that federal prosecutors should not prosecute medical marijuana activities authorized by state law.

Question 5 also expands the list of medical conditions qualifying for protection under Maine’s law to include several conditions that are included in most other medical marijuana states, including intractable pain, agitation of Alzheimer’s disease, and amyotrophic lateral sclerosis (“Lou Gehrig’s disease”).